Individual
NICHOLAS BRABHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
120 N HIGHWAY 171, LAKE CHARLES, LA 70611-5343
(337) 855-4848
Mailing address
120 N HIGHWAY 171, LAKE CHARLES, LA 70611-5343
(337) 855-4848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014744
LA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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